Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Henrico County Health Department West
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA P. BENNETT (BUSINESS MANAGER)
(804) 501-4953
Entity
Organization
Contact information
Practice address
8600 DIXON POWERS DR, HENRICO, VA 23228-2735
(804) 501-4953
(804) 501-4588
Mailing address
PO BOX 90775, HENRICO, VA 23273-0775
(804) 501-4953
(804) 501-4588
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072212
ANTHEM HMO
VA
05
—
10001587
—
VA
05
—
4975588
—
VA
05
—
68428
—
VA
Enumeration date
09/27/2006
Last updated
02/10/2011
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